Provider Demographics
NPI:1356817407
Name:LAWRENCE, MELANIE LOREN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:LOREN
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:LOREN
Other - Last Name:VANCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:220 E ROWAN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-2244
Mailing Address - Country:US
Mailing Address - Phone:509-483-4060
Mailing Address - Fax:509-483-0043
Practice Address - Street 1:220 E ROWAN AVE STE 150
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-2244
Practice Address - Country:US
Practice Address - Phone:509-483-4060
Practice Address - Fax:509-483-0043
Is Sole Proprietor?:No
Enumeration Date:2018-10-16
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60706651163WS0200X
WAAP61521526363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WS0200XNursing Service ProvidersRegistered NurseSchool